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Individual

MICHAEL P KRUESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
24097
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
AC004493
MD
367500000X
Certified Registered Nurse Anesthetist
RN233459
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN3292
SC
Enumeration date
01/29/2018
Last updated
06/25/2025
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